Cancer ache ache appraisal

The appraisal ache's best method is to the ache essence trust, the use reliable effective tool and understood that some related aches the question, may understand the ache well the essence.　　1.1 influence correct appraisal factor 1.2 patient's ages, sex, disposition and cultural context: Generally speaking, the senior compares the youngling to endure the ache, the disposition introvert are few to the ache principal claim, the same level degree's ache responds in the disposition extravert can be intense, the principal claim are more. National, the family, past experience will have the influence to the ache appraisal. 1.3 nurses factor: In many hospitals, has not become the nursing work convention to the ache appraisal, only in the patient proposed when ache or request analgesia only then passively processes. Lacks the correct measurement ache the tool to cause the patient principal claim and nurse appraises accounts for 77% not identically, nurse has appraised patient's ache to account for 54% lowly, nurse the high appraisal ache has only accounted for 13%. Appraisal method　 2.1 0-10 level of linear visual simulation grading law: In rod's both sides, the sign has from 0-10 digit, the digit is bigger, the expression ache intensity is bigger. When use, to the patient explained first 0 represent the indolence, 1 represents the slightest ache, 10 represent the most serious ache, which position finally understands the patient this time the ache in rod's. Appraisal standard: Slight ache 1~4 levels (for example ill, heavy item oppression feeling, passive ache, inflammatory pain); The moderate ache 5 ~6 levels (for example jump pain and convulsion, burning sensation, extrusion feeling and stabbing pain, touch a sore spot with tenderness); Serious ache 7~9 levels (for example hindrance normal activities); Fierce ache (beyond control). This Nurse Hori Yu grasps the ache accurately the degree, favors the appraisal control ache the effect. 2.2 Wong-Banker facial expression meter law appraisal ache: This method from the smile expresses the ache degree with 6 kind of facial expressions to the sadness to the sob. This law suits any age, does not have the specific cultural context or the sex request, easy to grasp, does not need any additional equipment. The acute ache, old person, the young child, power of expression forfeit is specially suitable. 2.3 Memillan ache estimate table: The ache degree indicated with the range estimate direct-viewing ache rod that and draws the ache spot (patient or nurse picture). Nurse asks the following question and the record to the patient: How does your ache start? When starts, what kind of stimulation can cause the ache? Your ache has the long time? Endurance or discontinuity? Please describe the ache situation and the change situation. Describes your ache with yours language. How can alleviate the ache? How can aggravate the ache? How can stop pain? How to do cannot stop pain? When ache outbreak has what symptom? Ache at which aspect like sleep, appetite, body, attention, mood, social activity and so on to you to be whether influential? You thought that is what reason causes your present's ache? This law can make the comprehensive appraisal to the ache and the correlation factor, is suitable in whole nursing the appraisal ache. 2.4 use to describe the ache degree the glossary: Melzeak with mild, specific weight ache, labor pain, the fearful ache and is unable the ache which endures and so on to help the patient to describe own ache, causes the patient to express well the ache. This method meets patient's psychological need, but is affected in a big way the subjective factor. 2.5 monitor patient's change: Monitors the patient life symptom, the breath way, the partial muscle's tensity, the palm perspiration and so on indirect understanding ache degree.